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Warning-sign checks

Tooth formation - delayed or absent: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    These concerns usually need assessment rather than emergency treatment.

    A dentist can decide whether an X-ray or referral is appropriate.

    Seek emergency medical care for rapidly increasing facial or neck swelling, difficulty breathing or swallowing, uncontrolled bleeding, or a serious injury to the mouth or jaw.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek prompt dental care for tooth pain, gum swelling, pus, fever, or a broken retained baby tooth.

    These signs are more likely to reflect infection or injury than absent tooth formation.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine dental appointment if:

    • A permanent tooth seems much later than the matching tooth
    • A baby tooth remains while nearby permanent teeth have appeared
    • There is an unexplained gap or an unusually shaped tooth
    • Several family members have missing permanent teeth
    • A child with missing teeth also has unusual hair, nails, skin, or sweating
    • A retained baby tooth becomes loose, worn, painful, or changes colour

Every sign above is quoted from the sofidex article on Tooth formation - delayed or absent. If you are not sure, err upward — it is always reasonable to be checked.